| NPI | 1194875732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX P6977) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 25207) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2015-10-06 |